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MSK: LQ > lecture 7b continues > Flashcards

lecture 7b continues Flashcards

1
Q

what is the MOI for meniscal injuries

A

closed chain twisting injury , combination valgus/ hyperextension force

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2
Q

what are the 5 factors that are associated with meniscal tear

A

• History of mechanical catching or locking
• Injury often associated with forceful twist of femur, especially medial
• Joint line tenderness
• Pain with forced knee hyperextension or maximum passive flexion
• Pain or click with McMurray test

4 or more postivie then 81% sure it is meniscus

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3
Q

what is the best to know if meniscus is involved

A

joint line tenderness

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4
Q

what are teh CPG for meniscus injury

A
  • 25% of all knee injuries
  • HS athletes (more common in females)
  • older
  • higher in ACL sx
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5
Q

what are teh CPG for articular cartilage injury

A
  • may be asymptomatic
  • 2/3 in femoral condyle and patella
  • higher after partial menisecetomy
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6
Q

what are the clinical findings for articular cartilage

A
  • acute trauma w hematrhosis
  • insidious onset aggravated by repetitive impact
  • intermittent pain and swelling
  • hx of catching or locking
  • joint line tenderness
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7
Q

if a pt has a clinical finding or a twisting injury , tearing sensation , delayed effusion , hx of catching or locking , pain w forced hyperextension , pain w max passive knee flexion , joint line tenderness and pain or audible clinic w mcmurrary maneuver what do u think

A

meniscus

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8
Q

when is full WB for a articular cartilage injury

A

6-8 weeks

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9
Q

what is most commm form for orestoarethetic disability in the US

A

knee OA

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10
Q

what is the altmans criteria for knee OA

A

• Knee pain and:
• Age >50 yrs
• Knee crepitus
• Palpable bony enlargement
• Bony tenderness to palpation
• Morning stiffness <30 minutes
• No palpable warmth

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11
Q

waht is the kel green lawrence scale for

A

knee OA

grade 0: nothing on xray
grade 4: large oestophyets

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12
Q

what is better for Knee OA ? manual therapy ,exercise and HEP or just HEP alone

A

MT , exercise and HEP

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13
Q

what can hip mobs do for the knee

A

short term increase in knee ROM and decrease in pain

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14
Q

what is the knee OA treatment summary

A

exercise
check the hip
weight control
mobilization and exercise for knee ROM

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15
Q

what is the MOI for patellofemoral pain syndrome

A
  • Trauma
  • Overuse
  • Patellar tracking
  • Muscle imbalance – check hip
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16
Q

what is associated impairments with Patellofemoral Pain Syndrome (PFPS)

A
  • ↓ quad strength
  • ↓ flexibility
  • ↓ coordination of quads
  • Control of femur-tibial rotation, overpronation, patellar positions
17
Q

what is the biomechanics for Patellofemoral Pain Syndrome (PFPS)

A

knee angle affects patellar compression forces

18
Q

how much does WB exaggerate the compression of Patellofemoral Pain Syndrome (PFPS) with walking and running

A
  • Walking: 25-50% BW
  • Running: 5-6x BW
19
Q

Patellofemoral Pain Syndrome (PFPS) is more common in females or males

A

athletic females

20
Q

Patellofemoral Pain Syndrome (PFPS) may be influenced by the interaction of the segments and joints of the LE. in particular abnormal motion of the ___ and ___ in the trasnvers and frontal planes may have an effect on patellofemoral joint mechanics. with this in mid , intervention aimed at controlling ___ and ___ motion and ___/___ motion may be warranted and should be considered when treating persons with patellomfemoral joint dysfunction

A

tibia and femur
hip and pelvic motion and ankle/ foot

21
Q

according to the CPG for Patellofemoral Pain Syndrome (PFPS) there is a strong possibility that ___ weakness is a ___ of Patellofemoral Pain Syndrome (PFPS) and not a direct causes

A

hip

results

22
Q

if a pt comaplins for prolong sitting pain >30 mins adn then standing up and feeling more pain what do u think

A

Patellofemoral Pain Syndrome (PFPS)

23
Q

for pts w Patellofemoral Pain Syndrome (PFPS) they may have pain w step down test .. why

A

femur IR under patella during step down

24
Q

if a pateint demonstrates excessive hip
adduction, IR, and knee valgus during gait and
with step-down what is weak?

A

weak hip abductors,
extensors, ERs

25
Q

___ strengthening prior to
functional exercises reduces
pain sooner than quadriceps
strengthening in females with
PFPS

A

hip

26
Q

what is the CPR lumbopelvic manip for to for PFPS ? 5

A
  • Side to side diff in hip IR >14°
  • Ankle DF > 16º
  • Navicular drop > 3mm
  • No self reported stiffness in sitting > 20 min
  • Squatting reported as most painful activity

at least 3/5 (+)

27
Q

what is an overuse injury common in jumping and running sports with gradual increase in patellar tendon pain

A

Patellar Tendinopathy (Jumper’s Knee)

28
Q

what is the typical treatment for Patellar Tendinopathy (Jumper’s Knee)

A

relative rest

29
Q

what are the current recommendations about the intervention that should be focused on for Patellar Tendinopathy (Jumper’s Knee)

A

tendon healing and strengthening
decrease loaf on tendon
quad eccentrics
address jumping mechanics

30
Q

what are teh benefits to heavy , slow resistance program ( jill cooks approach)

A
  • Better tolerated if pt has significant pain
  • Focuses on weaknesses in the entire kinetic chain
  • Load demands progressed on pt tolerance in sport/function specific manner
31
Q

what is the rehabilitation stages and progrsssion criteria for Patellar Tendinopathy

A
  1. isometric loading
  2. isotonic loading
  3. energy storage loading
  4. return to sport

MSK: LQ (22 decks)

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